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BMC Public Health

, 7:186

First Online: 30 July 2007Received: 12 January 2007Accepted: 30 July 2007DOI: 10.1186-1471-2458-7-186

Cite this article as: Papadopoulos, A.A., Kontodimopoulos, N., Frydas, A. et al. BMC Public Health 2007 7: 186. doi:10.1186-1471-2458-7-186


BackgroundDiabetes Mellitus DM is a major cause of morbidity and mortality affecting millions of people worldwide, while placing a noteworthy strain on public health funding. The aim of this study was to assess health-related quality of life HRQOL of Greek Type II DM patients and to identify significant predictors of the disease in this patient population.

MethodsThe sample N = 229, 52.8% female, 70.0 years mean age lived in a rural community of Lesvos, an island in the northeast of the Aegean Archipelagos. The generic SF-36 instrument, administered by trainee physicians, was used to measure HRQOL. Scale scores were compared with non-parametric Mann-Whitney and Kruskal-Wallis tests and multivariate stepwise linear regression analyses were used to investigate the effect of sociodemographic and diabetes-related variables on HRQOL.

ResultsThe most important predictors of impaired HRQOL were female gender, diabetic complications, non-diabetic comorbidity and years with diabetes. Older age, lower education, being unmarried, obesity, hypertension and hyperlipidaemia were also associated with impaired HRQOL in at least one SF-36 subscale. Multivariate regression analyses produced models explaining significant portions of the variance in SF-36 subscales, especially physical functioning R = 42%, and also showed that diabetes-related indicators were more important disease predictors, compared to sociodemographic variables.

ConclusionThe findings could have implications for health promotion in rural medical practice in Greece. In order to preserve a good HRQOL, it is obviously important to prevent diabetes complications and properly manage concomitant chronic diseases. Furthermore, the gender difference is interesting and requires further elucidation. Modifying screening methods and medical interventions or formulating educational programs for the local population appear to be steps in the correct direction.

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Autor: Angelos A Papadopoulos - Nick Kontodimopoulos - Aristidis Frydas - Emmanuel Ikonomakis - Dimitris Niakas


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